| NPI | 1497429088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 4896) |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: CT 4896) |
| 225XM0800X Occupational Therapist, Mental Health (Licence: CT 4896) | |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CT 4896) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CT 4896) | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |