NPI | 1518117373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: PA OC002136L) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC002136L) |
Enumeration Date | 2008-09-29 |
Last Update Date | 2021-04-21 |