| NPI | 1508928136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand |
| 225XN1300X Occupational Therapist Neurorehabilitation | |
| 225XP0200X Occupational Therapist Pediatrics | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |