| NPI | 1326438219 |
|---|---|
| Former Name | KELSEY PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 12038) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |