NPI | 1063880912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT17016) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30324) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-09 |