| NPI | 1265964571 |
|---|---|
| Former Name | CARRINGTON YATES REYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 2086) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-03026) |
| 225X00000X Occupational Therapist (Licence: MO 2014031656) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |