NPI | 1366404758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: PA OC008575) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC008575) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2021-06-10 |