| NPI | 1629517628 |
|---|---|
| Former Name | KAYLEE M FAULKNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 478643) |
| Additional Taxonomies | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: MA 478643) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: MA 478643) | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2018-03-17 |