| NPI | 1477418044 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: MI 5201010527) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-12-17 |
| Last Update Date | 2025-12-17 |