| NPI | 1275598195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 1417) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-01-23 |