| NPI | 1588996961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CO 1927) |
| Additional Taxonomies | 224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility (Licence: CO 1927) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |