| NPI | 1154722544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 00003542) |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: WA 00003542) |
| 225XG0600X Occupational Therapist, Gerontology (Licence: WA 00003542) | |
| 225XH1300X Occupational Therapist, Human Factors (Licence: WA 00003542) | |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: WA 00003542) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WA 00003542) | |
| 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: WA 00003542) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2019-03-13 |