| NPI | 1437303278 |
|---|---|
| Former Name | KATHLEEN BAKER KONVALINKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 3958) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA GA OT004827) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2020-01-27 |