NPI | 1780101980 |
---|---|
Former Name | KENDRA MARIE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056.012091) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2017-08-28 |
Last Update Date | 2022-04-20 |