| NPI | 1437464674 |
|---|---|
| Former Name | KYLEEN C. KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 8043) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC011525) |
| 225X00000X Occupational Therapist (Licence: VA 0119005582) | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2018-03-17 |