| NPI | 1598374373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 27053) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 124591) |
| 225X00000X Occupational Therapist (Licence: FL 20935) | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-11-22 |