NPI | 1063703577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT002923) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-975) |
225X00000X Occupational Therapist (Licence: CA OT 10244) | |
Enumeration Date | 2011-05-02 |
Last Update Date | 2011-05-02 |