| NPI | 1609048800 |
|---|---|
| Former Name | KELLY ANN GROH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: SC 3262) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2013-04-30 |