| NPI | 1548512049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: OR 310983) |
| Additional Taxonomies | 225XE1200X Occupational Therapist, Ergonomics (Licence: OR 310983) |
| 225XH1200X Occupational Therapist, Hand (Licence: OR 310983) | |
| 225XG0600X Occupational Therapist, Gerontology (Licence: OR 310983) | |
| 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: OR 310983) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2015-10-26 |