NPI | 1215326277 |
---|---|
Former Name | KAYLA TRIPLETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006640) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 004288) |
Enumeration Date | 2015-01-14 |
Last Update Date | 2024-01-17 |