NPI | 1992072631 |
---|---|
Former Name | LAURA LEE JENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00004233) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 00004233) |
225XN1300X Occupational Therapist, Neurorehabilitation (Licence: WA OT00004233) | |
Enumeration Date | 2011-11-23 |
Last Update Date | 2023-12-13 |