NPI | 1467797118 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 211930) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.04763) |
Enumeration Date | 2012-12-06 |
Last Update Date | 2012-12-06 |