NPI | 1518517010 |
---|---|
Other Name | BENJAMIN DAVID CARR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A1537) |
Enumeration Date | 2019-09-17 |
Last Update Date | 2020-11-09 |