Individual
AUTUMN DOSE
Active
Individual
AUTUMN DOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7562
TN
225XP0200X
Pediatric Occupational Therapist
106845
MN
Other
Enumeration date
07/08/2022
Last updated
08/15/2023
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