| NPI | 1326604083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 342834) |
| Additional Taxonomies | 225XE1200X Occupational Therapist, Ergonomics (Licence: AZ 342834) |
| 225XE0001X Occupational Therapist, Environmental Modification (Licence: AZ 342834) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: AZ 342834) | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |