| NPI | 1518608082 |
|---|---|
| Professional Name | KELLY RYAN FOGARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL Ota11513) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 11513) |
| 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: FL 11513) | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |