| NPI | 1649468026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 106788) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: TX 106788) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2011-04-20 |