NPI | 1104027044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 2886) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 6200) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2007-07-08 |