| NPI | 1326354952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT5607) |
| Additional Taxonomies | 225XL0004X Occupational Therapist, Low Vision (Licence: FL OT5607) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2011-08-05 |