| NPI | 1720389463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 210627) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IN 32001772a) |
| 224Z00000X Occupational Therapy Assistant (Licence: WA oc60138335) | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |