NPI | 1508059460 |
---|---|
Former Name | KIMBERLY A REXIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 8543) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 112368) |
225XP0200X Occupational Therapist, Pediatrics (Licence: KY R4259) | |
Enumeration Date | 2007-08-23 |
Last Update Date | 2014-11-06 |