| NPI | 1720437445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC 3420) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057004212) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |