| NPI | 1023842002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NE 2603) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |