| NPI | 1467794172 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 213605) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 008071) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2024-05-17 |