| NPI | 1710318324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 299993690) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 299993690) |
| 224Z00000X Occupational Therapy Assistant (Licence: FL 299993690) | |
| 225100000X Physical Therapist (Licence: FL 299993690) | |
| 2251E1200X Physical Therapist, Ergonomics (Licence: FL 299993690) | |
| 225200000X Physical Therapy Assistant (Licence: FL 299993690) | |
| 225X00000X Occupational Therapist (Licence: FL 299993690) | |
| 225XE1200X Occupational Therapist, Ergonomics (Licence: FL 299993690) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL 299993690) | |
| 376J00000X Homemaker (Licence: FL 16855) | |
| 376K00000X Nurse's Aide (Licence: FL 299993690) | |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |