| NPI | 1235916792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC 3660) |
| Additional Taxonomies | 224ZF0002X Occupational Therapy Assistant Feeding, Eating & Swallowing (Licence: SC 3660) |
| 224ZL0004X Occupational Therapy Assistant Low Vision (Licence: SC 3660) | |
| 224ZR0403X Occupational Therapy Assistant Driving and Community Mobility (Licence: SC 3660) | |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |