NPI | 1578793014 |
---|---|
Former Name | KELSEY KAY LUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 201570) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2016-09-15 |