NPI | 1295150803 |
---|---|
Former Name | MEGAN KELLOGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 7329) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31005253A) |
225X00000X Occupational Therapist (Licence: VA 0119011130) | |
Enumeration Date | 2014-02-19 |
Last Update Date | 2025-09-25 |