| NPI | 1043705338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 2817) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: NY 2817) |
| 225XH1200X Occupational Therapist, Hand (Licence: NY 2817) | |
| 225XH1300X Occupational Therapist, Human Factors (Licence: NY 2817) | |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NY 2817) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |