| NPI | 1396175253 |
|---|---|
| Former Name | KELLY BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60713087) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104434) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2018-10-19 |