NPI | 1235539057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 225X00000X) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: UT 225XH1200X) |
225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: UT 225XP0019X) | |
Enumeration Date | 2014-08-28 |
Last Update Date | 2014-08-28 |