NPI | 1518110717 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 1921) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 9425) |
225XE1200X Occupational Therapist, Ergonomics (Licence: AK 1921) | |
225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: AK 1921) | |
Enumeration Date | 2008-10-31 |
Last Update Date | 2021-07-27 |