| NPI | 1639838899 |
|---|---|
| Former Name | KELLY LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072.0134174) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 13087) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |