| NPI | 1235503301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MI 1041100312) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 989940) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |