NPI | 1942656418 |
---|---|
Former Name | SANDRA LEE GREGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OT00001121) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WA OT00001121) |
Enumeration Date | 2016-05-13 |
Last Update Date | 2021-06-07 |