| NPI | 1306956941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: NH 2231) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT11395) |
| 225X00000X Occupational Therapist (Licence: NC 2065) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-08-12 |