NPI | 1114376555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61453669) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 14897) |
225X00000X Occupational Therapist (Licence: OH OT.009340) | |
225X00000X Occupational Therapist (Licence: CA 24441) | |
225XH1200X Occupational Therapist, Hand (Licence: WA OT61453669) | |
Enumeration Date | 2016-06-07 |
Last Update Date | 2024-05-08 |