NPI | 1437482957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA OTT.Z11853) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 019746-1) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2015-06-25 |