| NPI | 1366732109 |
|---|---|
| Former Name | KAYLEE M HASSICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC011094) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 2692) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2022-09-12 |