| NPI | 1144796319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 4021) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2814) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-11-27 |