| NPI | 1598552275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 225XR0403X Occupational Therapist, Driving and Community Mobility |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372600000X Adult Companion | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |