NPI | 1760999379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 008820-1) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA po008390) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2019-08-27 |