| NPI | 1013306695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 2142) |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: CA 2142) |
| 225XH1200X Occupational Therapist, Hand (Licence: CA 2142) | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |