| NPI | 1750938445 |
|---|---|
| Former Name | KELLY BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 6339) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119-008284) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2025-01-15 |