| NPI | 1952661266 |
|---|---|
| Former Name | REBECCA LUSK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT003134) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN OT0000000933) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-01-27 |