| NPI | 1215297627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 17272) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PR 754) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2024-12-02 |