NPI | 1013146943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 4334) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 3069) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2016-06-20 |