NPI | 1619228772 |
---|---|
Former Name | KASIE A BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31005330A) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 264002) |
225XP0200X Occupational Therapist, Pediatrics | |
Enumeration Date | 2012-09-28 |
Last Update Date | 2023-07-03 |