| NPI | 1356866230 |
|---|---|
| Former Name | KATHERYNE WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00777800) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00777800) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2025-01-31 |