| NPI | 1346443041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT12754) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OTT12754) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-09-11 |