NPI | 1467824979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.009323) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 62309) |
225X00000X Occupational Therapist (Licence: CA 13414) | |
Enumeration Date | 2015-10-22 |
Last Update Date | 2015-10-22 |