NPI | 1720425143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 312221) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
Enumeration Date | 2013-05-24 |
Last Update Date | 2021-02-12 |