| NPI | 1700877610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 110070) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2026-07-14 |