| NPI | 1083951578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.003713) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IN 32002271A) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |