| NPI | 1235249418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 3413) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: FL OT1031) |
| 225XH1200X Occupational Therapist, Hand (Licence: FL OT1031) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-04-18 |