NPI | 1659608701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT.006685) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 011004791) |
225X00000X Occupational Therapist (Licence: NY 6382902) | |
Enumeration Date | 2009-11-11 |
Last Update Date | 2009-11-11 |