| NPI | 1083669212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT9283) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 3880) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-26 |