| NPI | 1508351347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MN 202329) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057004571) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |