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 |