| NPI | 1205358223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CO OT.0006724) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CO OT.0006724) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2021-02-25 |