| NPI | 1316976418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT19566) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 0090981) |
| 225XH1200X Occupational Therapist, Hand (Licence: NY 0090981) | |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NY 0090981) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-09-13 |