| NPI | 1134309388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA OTA1723) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: GA 0604) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2009-12-09 |