| NPI | 1659605129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC011206) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2251G0304X Physical Therapist, Geriatrics | |
| 225X00000X Occupational Therapist (Licence: IL 056010180) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2021-09-13 |