| NPI | 1346285756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: FL 11940) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-02-18 |