NPI | 1477973543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006269) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2014-04-16 |
Last Update Date | 2024-01-18 |