| NPI | 1659361913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00000001) |
| Additional Taxonomies | 225XE1200X Occupational Therapist Ergonomics (Licence: WA OT00000001) |
| 225XH1200X Occupational Therapist Hand (Licence: WA OT00000001) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-07-08 |