NPI | 1225276710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112894) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT2236) |
Enumeration Date | 2009-01-22 |
Last Update Date | 2009-01-22 |