| NPI | 1508229162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: CO OT.0004538) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: WI 5433-26) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |