| NPI | 1346899143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20169) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 7636) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2026-07-07 |