NPI | 1972155364 |
---|---|
Former Name | KAILA WALTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.012848) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056012848) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2022-02-03 |