| NPI | 1649552076 |
|---|---|
| Former Name | SUSAN KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DE U1-0012526) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 46TR00359400) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2023-11-10 |