NPI | 1528633187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010001838) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119008928) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2021-05-25 |