NPI | 1801358882 |
---|---|
Former Name | KAYLEE SCHIRADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 1113) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: SD 1113) |
Enumeration Date | 2019-04-01 |
Last Update Date | 2023-09-26 |