NPI | 1992134985 |
---|---|
Former Name | AMBER JUSTINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202007880) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.05167) |
Enumeration Date | 2013-11-11 |
Last Update Date | 2018-02-28 |