| NPI | 1023240926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT13648) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NC 7685) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2019-02-12 |