NPI | 1275654667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: NJ 9511000027) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ TR001614) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2012-09-13 |