| NPI | 1528249372 | 
|---|---|
| Former Name | KIMBERLY GEISNER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 8691)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 002993)  | 
| Enumeration Date | 2007-11-21 | 
| Last Update Date | 2019-03-29 |