| NPI | 1487469508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 125305) |
| Additional Taxonomies | 225XE1200X Occupational Therapist, Ergonomics (Licence: TX 125305) |
| 225XH1200X Occupational Therapist, Hand (Licence: TX 125305) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 125305) | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |