NPI | 1154751824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT.008488) |
Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: OH OT.008488) |
225XP0200X Occupational Therapist, Pediatrics (Licence: OH OT.008488) | |
Enumeration Date | 2013-11-17 |
Last Update Date | 2013-11-17 |