| NPI | 1154770758 |
|---|---|
| Former Name | LAURA KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106673) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 6059) |
| 225X00000X Occupational Therapist (Licence: TX 116009) | |
| 225X00000X Occupational Therapist (Licence: WA 60644948) | |
| 225X00000X Occupational Therapist (Licence: IA 074214) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2025-01-23 |