| NPI | 1912410382 |
|---|---|
| Former Name | KELLY A KAZMAREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT005903) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH PT005903) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2019-08-16 |