| NPI | 1780926329 |
|---|---|
| Former Name | ERIK MICHAEL ANDERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC012760) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60279328) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |