| NPI | 1679798391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 4938) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: CA 4938) |
| 225X00000X Occupational Therapist (Licence: FL OT18659) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-05-05 |