| NPI | 1578739975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT13205) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-04-17 |