NPI | 1346750361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025952-01) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
Enumeration Date | 2017-10-04 |
Last Update Date | 2022-07-08 |