NPI | 1700332202 |
---|---|
Former Name | KAYLEIGH ELIZABETH HOLLYWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2016-08-25 |
Last Update Date | 2024-02-16 |