| NPI | 1346567021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT 747) |
| Additional Taxonomies | 225XG0600X Occupational Therapist Gerontology (Licence: CA OT 747) |
| 225XM0800X Occupational Therapist Mental Health (Licence: CA OT 747) | |
| 225XN1300X Occupational Therapist Neurorehabilitation (Licence: CA OT 747) | |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: CA OT 747) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |