| NPI | 1013307313 |
|---|---|
| Former Name | KAELEE RAE KENDRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119951) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 076166) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2019-05-09 |