NPI | 1518799766 |
---|---|
Former Name | KAITLYN ANN CHAPPELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119010661) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119010661) |
Enumeration Date | 2024-08-16 |
Last Update Date | 2024-09-26 |