| NPI | 1053787572 |
|---|---|
| Former Name | KELSEY WEIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009867) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-03012) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-06-06 |