NPI | 1386041473 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC018314) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126002025) |
Enumeration Date | 2014-12-04 |
Last Update Date | 2022-12-05 |