NPI | 1023047578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT6659) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: FL OT6659) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2014-01-24 |