| NPI | 1174806806 |
|---|---|
| Former Name | RACHELLE ANGELINA KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT14823) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2019-06-21 |