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 |