| NPI | 1669570883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC008778) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 04495) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: PA OC008778) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: PA OC008778) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-06-21 |