NPI | 1386000461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: OR 451974) |
Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: OR 451974) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2016-01-06 |