| NPI | 1508303702 |
|---|---|
| Former Name | SYDNEY KELLOGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2022-09-08 |