| NPI | 1265021992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: FL OT16273) |
| Additional Taxonomies | 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner (Licence: FL OT16273) |
| 225XE0001X Occupational Therapist, Environmental Modification (Licence: FL OT16273) | |
| 225XE1200X Occupational Therapist, Ergonomics (Licence: FL OT16273) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: FL OT16273) | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2021-01-17 |