| NPI | 1972852515 |
|---|---|
| Former Name | JENNIFER RUTH LOUNSBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 017817-1) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 017817) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2021-06-08 |