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 |