| NPI | 1730726472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT21187) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NY 019256) |
| 225XH1200X Occupational Therapist, Hand (Licence: FL OT21187) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2022-12-28 |