| NPI | 1356760433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CT 001413) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 2638) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-10-16 |