NPI | 1245796754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 9779) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000294) |
Enumeration Date | 2019-02-20 |
Last Update Date | 2019-02-20 |