NPI | 1770616146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 000714) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 1938) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |