NPI | 1326262197 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 010674-1) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 010674-1) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-08 |