NPI | 1144971920 |
---|---|
Former Name | KAYLEE HEFTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 122610) |
Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: TX 122610) |
Enumeration Date | 2022-01-13 |
Last Update Date | 2024-09-26 |