| NPI | 1699078998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 004526-1) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 10485) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |