| NPI | 1134772296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 7151) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 20080) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2022-03-28 |