| NPI | 1750693115 |
|---|---|
| Former Name | KELLEY KATHRYN O'CONNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40661) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017799) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2020-03-14 |