| NPI | 1467474296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC P13386) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 4620) |
| 225XH1200X Occupational Therapist, Hand (Licence: NY 008518-1) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-01-13 |