| NPI | 1558633081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT2147) |
| Additional Taxonomies | 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: MS OT2147) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |