NPI | 1295247872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 7860) |
Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CA OT7860) |
Enumeration Date | 2017-11-03 |
Last Update Date | 2017-11-03 |