NPI | 1952823809 |
---|---|
Former Name | ALEXA MARTEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 1044) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: SD 1044) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2023-06-29 |