| 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 |