| NPI | 1477574135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT-8084) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 6369) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-09-10 |