| NPI | 1437832094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 213263) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OR 343062) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |