| NPI | 1295895019 |
|---|---|
| Former Name | KELLI JEAN CREASY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC010437) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00398900) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-02-04 |