| NPI | 1528390101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 009703-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 009703-1) |
| 225XH1200X Occupational Therapist, Hand (Licence: NY 009703-1) | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |