NPI | 1932407426 |
---|---|
Former Name | MICHELLE IOVANNISCI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: TN 5378) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CA OT 12872) |
Enumeration Date | 2011-03-07 |
Last Update Date | 2016-03-15 |