| NPI | 1386676708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT8550) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 8550) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-11-18 |