| NPI | 1295251387 |
|---|---|
| Former Name | JESSICA KLONK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT009706) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OH OT009706) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2023-06-19 |