| 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 |