| NPI | 1518495431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO 0000229) |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: CO 0000229) |
| 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing (Licence: CO 0000229) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |