NPI | 1568874063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61590546) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 11467) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2025-10-06 |