| NPI | 1174157663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025373) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2021-01-26 |