| NPI | 1750952735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA002126) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |