| NPI | 1205913928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NY 009643) |
| Additional Taxonomies | 225XH1300X Occupational Therapist, Human Factors (Licence: NY 009643) |
| 225X00000X Occupational Therapist (Licence: NY 009643) | |
| 225XE1200X Occupational Therapist, Ergonomics (Licence: NY 009643) | |
| 225XH1200X Occupational Therapist, Hand (Licence: NY 009643) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 009643) | |
| 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: NY 009643) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-09-11 |