| NPI | 1033364021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: ID OT-520) |
| Additional Taxonomies | 225XE1200X Occupational Therapist Ergonomics (Licence: ID OT-520) |
| 225XH1200X Occupational Therapist Hand (Licence: ID OT-520) | |
| 225XM0800X Occupational Therapist Mental Health (Licence: ID OT-520) | |
| 225XN1300X Occupational Therapist Neurorehabilitation (Licence: ID OT-520) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |