| NPI | 1942526637 |
|---|---|
| Former Name | JACLYN KEIFENHEIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4197-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 113415) |
| 225X00000X Occupational Therapist (Licence: IL 056008981) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |