NPI | 1134471774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: AK 2198) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: AK 2198) |
Enumeration Date | 2012-10-05 |
Last Update Date | 2013-03-13 |