NPI | 1255600110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 12066) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 200526) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2011-12-22 |