NPI | 1184038010 |
---|---|
Former Name | KELLI ANNE LARAMEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT19433) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11097) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2018-12-06 |