| NPI | 1588137053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TN 2338) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-02-15 |