| NPI | 1255864708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: AL 4174) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: FL OT9768) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |