NPI | 1588997993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00004501) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 1077255) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2009-09-16 |