NPI | 1215559158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IA 099585) |
Additional Taxonomies | 374U00000X Home Health Aide |
Enumeration Date | 2020-05-14 |
Last Update Date | 2020-05-14 |