| NPI | 1043781883 |
|---|---|
| Former Name | KAYLYN ANDRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 119988) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA oc015888) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2024-01-22 |