| NPI | 1447101811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 072.0134636) |
| Enumeration Date | 2026-02-03 |
| Last Update Date | 2026-02-10 |