NPI | 1558967646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT21347) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2020-12-05 |
Last Update Date | 2024-10-11 |