| NPI | 1255926770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171R00000X Interpreter | |
| 172V00000X Community Health Worker | |
| 174400000X Specialist | |
| 225XG0600X Occupational Therapist, Gerontology | |
| 225XL0004X Occupational Therapist, Low Vision | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-04-19 |