| NPI | 1316291685 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-00865) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2012037318) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |