NPI | 1063755544 |
---|---|
Former Name | KAYLA MICHELLE SHEELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07495) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2013-04-03 |
Last Update Date | 2019-11-18 |