| NPI | 1437599974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: SC 5061) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: SC 5061) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2024-02-14 |