| NPI | 1801288733 |
|---|---|
| Former Name | CHRISTINA MARIE KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006478) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 4738) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2017-07-11 |