NPI | 1659682896 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 015364) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NY 015364) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2011-09-07 |