| NPI | 1023025293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT8514) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: FL OT8514) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: FL OT8514) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |