| NPI | 1235753310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: AK PHYO2716) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CO OT.0009069) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2025-09-22 |