NPI | 1215425806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 260371) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 19178) |
Enumeration Date | 2018-04-29 |
Last Update Date | 2024-08-08 |