| NPI | 1518298447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH 005876) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: OH 005876) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2011-05-02 |