| NPI | 1497996268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC008552) |
| Additional Taxonomies | 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner |
| 225CX0006X Rehabilitation Counselor Orientation and Mobility Training Provider | |
| 225XE0001X Occupational Therapist Environmental Modification (Licence: PA OC008552) | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing (Licence: PA OC008552) | |
| 225XG0600X Occupational Therapist Gerontology (Licence: PA OC008552) | |
| 225XN1300X Occupational Therapist Neurorehabilitation (Licence: PA OC008552) | |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: PA OC008552) | |
| 225XR0403X Occupational Therapist Driving and Community Mobility (Licence: PA OC008552) | |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-05-15 |