| NPI | 1689078313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00515500) |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: NJ 46TR00515500) |
| 225000000X Orthotic Fitter (Licence: NJ 46TR00515500) | |
| 225XH1200X Occupational Therapist, Hand (Licence: NJ 46TR00515500) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NJ 46TR00515500) | |
| 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: NJ 46TR00515500) | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |