NPI | 1487009536 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5802) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WI 5802-26) |
Enumeration Date | 2016-04-26 |
Last Update Date | 2024-01-04 |