| NPI | 1740411404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 26850) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 1800457) |
| 225X00000X Occupational Therapist (Licence: 26850) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2024-09-15 |