| NPI | 1306970256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: LA Z12033) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 17028) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2026-02-05 |