| NPI | 1437651536 |
|---|---|
| Former Name | KATHERINE JO ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201009611) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2021-03-22 |