Individual
MRS. ELLEN BAUER HUME
Active
Individual
MRS. ELLEN BAUER HUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT389
CA
225XG0600X
Gerontology Occupational Therapist
OT389
CA
225XN1300X
Neurorehabilitation Occupational Therapist
OT389
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT389
CA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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