| NPI | 1609875798 |
|---|---|
| Former Name | KIMBERLY KELLEHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-003079) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-04-20 |