NPI | 1407527534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21747) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 22082) |
225X00000X Occupational Therapist (Licence: WA 61130675) | |
225X00000X Occupational Therapist (Licence: TX 121432) | |
Enumeration Date | 2021-09-28 |
Last Update Date | 2021-09-28 |