| NPI | 1952965303 |
|---|---|
| Former Name | BETHANY MARIE SLAUGHTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2018030897) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 60920416) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |