| NPI | 1184331886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NH 0897) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 4900) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2023-09-10 |