| NPI | 1568953958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0005092) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-11-27 |