| NPI | 1164451225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: WA OT00004040) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OT00004040) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2012-04-06 |