| NPI | 1073984761 |
|---|---|
| Former Name | KAITLIN KINGSBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT19244) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07553) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2019-08-28 |