| 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 |