NPI | 1215036033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN OT0000003621) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 5031) |
225X00000X Occupational Therapist (Licence: AR OTR1219) | |
225X00000X Occupational Therapist (Licence: VA 0119004307) | |
225X00000X Occupational Therapist (Licence: TX 108485) | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-08 |