| NPI | 1598727885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 1635) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: AZ 3241) |
| 225X00000X Occupational Therapist (Licence: AZ 3241) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2016-04-06 |