NPI | 1609380377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 9623) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 021955-1) |
Enumeration Date | 2017-11-16 |
Last Update Date | 2017-11-16 |