NPI | 1154882223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21629) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 13144) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2021-03-03 |