| 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 |