| NPI | 1467836064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 2551) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NH 0519) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2016-04-27 |