| NPI | 1477129690 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NH 0830) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ME 3801) |
| 224Z00000X Occupational Therapy Assistant (Licence: MA 4574) | |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-05-28 |