| NPI | 1699955567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 012193) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 012193) |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-12-05 |