NPI | 1992726178 |
---|---|
Former Name | LAURA ANN KASTNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056-006610) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT 005773) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2015-03-26 |