NPI | 1992021372 |
---|---|
Former Name | GALINA SHALUMOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 016149-1) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 007574-1) |
Enumeration Date | 2010-04-11 |
Last Update Date | 2010-04-28 |