| NPI | 1053065458 |
|---|---|
| Other Name | MORGAN NICOLE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A1834) |
| Additional Taxonomies | 226000000X Recreational Therapist Assistant |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2022-09-14 |