NPI | 1003290933 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255R0406X Specialist/Technologist, Rehabilitation, Blind |
Additional Taxonomies | 225CX0006X Rehabilitation Counselor, Orientation and Mobility Training Provider |
Enumeration Date | 2015-07-09 |
Last Update Date | 2015-07-09 |