| NPI | 1124894852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A971) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 224Z00000X Occupational Therapy Assistant (Licence: AR OTA971) | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |