NPI | 1740746395 |
---|---|
Former Name | KELLYANN PATRICIA BRAMLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR01126700) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117875) |
Enumeration Date | 2019-02-19 |
Last Update Date | 2024-08-12 |