| NPI | 1386187003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO 0000732) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057004395) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |