| NPI | 1730424565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NV 12-0281) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 12-0281) |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing (Licence: NV 12-0281) | |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: NV 12-0281) | |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |