| NPI | 1285819797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: TX 107801) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 107801) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |