NPI | 1528461050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 14448) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 14448) |
Enumeration Date | 2014-09-29 |
Last Update Date | 2020-10-14 |