| NPI | 1952940173 |
|---|---|
| Former Name | AMANDA ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 325638) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2019036905) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2021-04-02 |