| NPI | 1720731615 |
|---|---|
| Former Name | KAYLA LYNN KWIECINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT23192) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC018228) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2025-10-14 |