| NPI | 1992219067 |
|---|---|
| Former Name | KELLY SCHOENFELDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 5395) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IA 087443) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2019-01-23 |