NPI | 1184023285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DE U1-0001411) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00599200) |
225X00000X Occupational Therapist (Licence: NY 017652) | |
225X00000X Occupational Therapist (Licence: PA OC012563) | |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |