| NPI | 1336754464 |
|---|---|
| Former Name | KATIE LYNN CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 5734-27) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2024-12-11 |