| NPI | 1144551482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC010507) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00188100) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00188100) | |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2012-04-04 |