| NPI | 1043637986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT 8552) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |