| NPI | 1346435708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 21008) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2020-03-13 |