| 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 |