| NPI | 1124383898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TN 4402) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: DC 10000804) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |