| 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 |