| NPI | 1033619580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 24174) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TN OTA0000002705) |
| 224Z00000X Occupational Therapy Assistant (Licence: GA OTA002099) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2022-12-28 |