| NPI | 1205186665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NJ 46TR00344900) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: PA OC012406) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |