| NPI | 1699364216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32003587A) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OK 2250) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2023-09-01 |