NPI | 1194214130 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 4368) |
Enumeration Date | 2018-05-04 |
Last Update Date | 2018-05-04 |