| NPI | 1134575574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 633) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-12-20 |