| NPI | 1225305584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH 001016) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AZ 0896) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2019-04-08 |