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 |