| NPI | 1033625819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: UT 8354358-4201) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 295727) |
| 225XH1200X Occupational Therapist, Hand (Licence: OR 295727) | |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2018-09-03 |