NPI | 1164714382 |
---|---|
Former Name | CAROLINE KAY QUEALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-02819) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 016713-1) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2015-12-30 |