| NPI | 1437239266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13177) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT8407) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-04-27 |