| NPI | 1205281144 |
|---|---|
| Former Name | MARIE KAYE LEATHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-03575) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-03575) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2022-12-27 |