| NPI | 1922466432 |
|---|---|
| Former Name | KELLY PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 17681) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL OT4172) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-09-07 |