NPI | 1437464450 |
---|---|
Former Name | KELLIE D TALBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR O-T1039) |
Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
Enumeration Date | 2010-08-13 |
Last Update Date | 2021-07-13 |