| NPI | 1588699433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WA OT60208363) |
| Additional Taxonomies | 225XH1300X Occupational Therapist, Human Factors (Licence: PR 1051) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NY 014003-1) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-07-31 |