NPI | 1942547427 |
---|---|
Former Name | KELLYU VERNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT18574) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114674) |
Enumeration Date | 2013-01-03 |
Last Update Date | 2023-05-19 |