NPI | 1124232020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: WA OT60020246) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60020246) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2021-12-22 |