NPI | 1396209177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007740) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 5966) |
Enumeration Date | 2019-01-26 |
Last Update Date | 2019-01-26 |