| 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 |