| NPI | 1952646192 |
|---|---|
| Former Name | KRISTIN ANN WYATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: KY 135018) |
| Additional Taxonomies | 171W00000X Contractor (Licence: KY R4341) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2024-01-19 |