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 |