| 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 |