| NPI | 1326806456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT22810) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 467592) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |