| NPI | 1982935540 |
|---|---|
| Former Name | AMANDA ELIZABETH HASELTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056.008910) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201008235) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2013-05-17 |