| NPI | 1093068165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH 03634) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP007218) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |