NPI | 1821530320 |
---|---|
Former Name | KELLY SCANLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056012369) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020461) |
Enumeration Date | 2016-11-15 |
Last Update Date | 2022-08-18 |