NPI | 1700216645 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21845) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-1190) |
Enumeration Date | 2013-11-13 |
Last Update Date | 2021-08-19 |