NPI | 1366596017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: FL OT20956) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NY 0065441) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2020-09-03 |