| NPI | 1285941278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 009993-1) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NY 009993-1) |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 009993-1) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 009993-1) | |
| 225XG0600X Occupational Therapist, Gerontology (Licence: NY 009993) | |
| Enumeration Date | 2010-09-12 |
| Last Update Date | 2010-10-25 |