| NPI | 1134838311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 7911) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 282530) |
| 225X00000X Occupational Therapist (Licence: CO OT.0008920) | |
| 225X00000X Occupational Therapist (Licence: AZ OTH-009879) | |
| 225X00000X Occupational Therapist (Licence: TX 125649) | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2026-04-24 |