| NPI | 1356085708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: NJ 46TR01038900) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01038900) |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NJ 46TR01038900) | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-04-22 |