NPI | 1477883130 |
---|---|
Former Name | KARI ANN KELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MN 5120) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SD 1265) |
Enumeration Date | 2009-12-31 |
Last Update Date | 2020-12-17 |