| NPI | 1124079363 |
|---|---|
| Former Name | CAROLYN FAITH CLAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5201004236) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 3472-026) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-05-12 |