NPI | 1962057232 |
---|---|
Former Name | EMILY CATHERINE LANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 13219) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 13219) |
Enumeration Date | 2019-08-05 |
Last Update Date | 2023-05-02 |