| NPI | 1306245014 |
|---|---|
| Former Name | KAYLA PELLETIER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11534) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 004260) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2023-05-16 |