NPI | 1780801647 |
---|---|
Former Name | LYNETTE DAY KANELOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: HI 1246) |
Additional Taxonomies | 171W00000X Contractor (Licence: HI 1246) |
171W00000X Contractor (Licence: WA OT00004470) | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2021-12-29 |