| NPI | 1417532664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist Mental Health (Licence: CA 20148) |
| Additional Taxonomies | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: CA 20148) |
| 225X00000X Occupational Therapist (Licence: CA 20148) | |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: CA 20148) | |
| 225XH1300X Occupational Therapist Human Factors (Licence: CA 20148) | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-07-02 |