| NPI | 1750479945 |
|---|---|
| Former Name | KASEY AUDRA DYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119004522) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 3068) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-03-10 |