NPI | 1942511274 |
---|---|
Former Name | KIMBERLY J KWIAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 14-0451) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.005630) |
Enumeration Date | 2010-07-01 |
Last Update Date | 2018-05-27 |