| NPI | 1245498815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32001122A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06001687A) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |