| NPI | 1184090045 |
|---|---|
| Former Name | KELSEE ANDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2016-09-29 |