NPI | 1215915541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC011865) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 1075481) |
225X00000X Occupational Therapist (Licence: TX 113643) | |
Enumeration Date | 2006-01-06 |
Last Update Date | 2016-10-19 |