| NPI | 1669796850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TX 108041) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 108041) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2018-03-29 |