| NPI | 1669569190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: SC 1051100620) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 2970) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2016-07-27 |