| NPI | 1396635082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131003100) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-23 |