NPI | 1093245805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CT 1778) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 8813) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2017-06-14 |