NPI | 1427293273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 005347) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 002641) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2017-04-26 |