| NPI | 1235309261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 1829) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 1829) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-10-01 |