| NPI | 1770819658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056008449) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ZZ 974) |
| 225X00000X Occupational Therapist (Licence: ZZ OT4721) | |
| 225X00000X Occupational Therapist (Licence: ZZ 237044) | |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-29 |