| NPI | 1437638731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115088) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2025-11-06 |