NPI | 1124174826 |
---|---|
Former Name | ERIN ELIZABETH KELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 20476) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 6285) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-06-24 |