| NPI | 1447364369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC009738) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119002764) |
| 225XH1200X Occupational Therapist, Hand (Licence: VA 0119002764) | |
| 225XH1200X Occupational Therapist, Hand (Licence: PA OC009738) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-07-11 |