Individual
MRS. ELIZABETH JANE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003874A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31003874A
OCCUPATIONAL THERAPIST CERTIFICATION
IN
Enumeration date
07/18/2008
Last updated
07/18/2008
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