NPI | 1558879478 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 022223) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT0006218) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2019-11-18 |