| NPI | 1447003462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: GA OT009126) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT009126) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |