| NPI | 1487820262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR2177) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: AR OTR2177) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2011-03-14 |