NPI | 1740468024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 08-0040) |
225X00000X Occupational Therapist (Licence: CO 8025) | |
Enumeration Date | 2008-02-08 |
Last Update Date | 2023-11-08 |