NPI | 1720609100 |
---|---|
Former Name | KIMBERLY ANNE TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA 007638) |
Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: GA 007188) |
Enumeration Date | 2020-04-27 |
Last Update Date | 2020-04-27 |