NPI | 1992798268 |
---|---|
Former Name | BERNADETTE C KOENIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-00488) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 000627) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2007-07-08 |