NPI | 1821438516 |
---|---|
Former Name | KELLY ANN WATKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-02875) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2011024109) |
Enumeration Date | 2013-06-27 |
Last Update Date | 2015-03-19 |