Individual
BROOKE WASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015018447
MO
224Z00000X
Occupational Therapy Assistant
213545
TX
224Z00000X
Occupational Therapy Assistant
81269
IA
224Z00000X
Occupational Therapy Assistant
986
NE
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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