| NPI | 1073789012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 100332) |
| Additional Taxonomies | 225XE1200X Occupational Therapist, Ergonomics (Licence: TX 100332) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-03-03 |