| NPI | 1700278462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 3649) |
| 225XR0403X Occupational Therapist, Driving and Community Mobility | |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |