| NPI | 1962541102 |
|---|---|
| Former Name | MARY ELLEN CULLINANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: NH PENDING) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: MA 1879) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |