NPI | 1477254647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DE U1-0001622) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC013972) |
Enumeration Date | 2023-03-15 |
Last Update Date | 2023-03-15 |