| NPI | 1366458705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: CO 0002896) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: AK 1276) |
| 225XH1200X Occupational Therapist, Hand (Licence: MD 1022608) | |
| 225XH1200X Occupational Therapist, Hand (Licence: CA 1051100600) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-04-11 |