NPI | 1013379213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 344678) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07920) |
Enumeration Date | 2016-03-26 |
Last Update Date | 2021-08-08 |