| NPI | 1598037962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT007046) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CA OT11703) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2020-08-21 |