NPI | 1609971456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: AK PHYO2299) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: WY OTR-462) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2023-11-27 |