| NPI | 1346375177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056010804) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC009084) |
| 225X00000X Occupational Therapist (Licence: TX 116050) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2017-03-09 |