| NPI | 1083158844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: IL 056014928) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 171754) |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CO OT.0004668) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NV OT-2724) | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2022-09-22 |