| NPI | 1407285034 |
|---|---|
| Former Name | JACQUELINE ANN KETTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI L2479280) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2021-06-21 |