NPI | 1972673580 |
---|---|
Former Name | CARRIE HEATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 7848) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NH 1597) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2007-07-08 |