NPI | 1457811135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP008024) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
Enumeration Date | 2019-03-20 |
Last Update Date | 2019-03-20 |