| NPI | 1558486076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20223) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 3807) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-11-30 |