| NPI | 1437364379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 007094) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP006416) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-08-11 |