| NPI | 1992124887 |
|---|---|
| Former Name | JEANETTE M. STANIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: UT 8360347-4201) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: UT 8360347-4201) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2020-10-11 |