NPI | 1982989299 |
---|---|
Former Name | MARINA SONGLUE CHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201007009) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 114418) |
Enumeration Date | 2011-10-18 |
Last Update Date | 2011-10-18 |