NPI | 1366633422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA 3068) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AZ 1689) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |