| NPI | 1063644870 |
|---|---|
| Former Name | KRISTEN N ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5013-026) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.008748) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2016-11-01 |