NPI | 1700858826 |
---|---|
Former Name | KELLY MARIE KULUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: MS OT3034) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2024-08-26 |