| NPI | 1124285481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 12186) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 3697) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |