NPI | 1124451703 |
---|---|
Former Name | KIMBERLY CARTER-MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 6118) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 15446) |
225X00000X Occupational Therapist (Licence: NY 019735) | |
Enumeration Date | 2013-08-18 |
Last Update Date | 2024-01-26 |