NPI | 1598781932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: FL OT9495) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 9495) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2008-05-14 |