NPI | 1316531288 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 5466) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT15930) |
Enumeration Date | 2021-02-22 |
Last Update Date | 2021-11-19 |