| NPI | 1720442221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CA 9714) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CA 9714) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |