| NPI | 1629369111 |
|---|---|
| Former Name | KERRY A CLARK POPOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK PHYO2872) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 1464) |
| 225X00000X Occupational Therapist (Licence: ME OT2247) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2019-05-01 |