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 |