NPI | 1801502752 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 482904) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 6393) |
Enumeration Date | 2023-01-24 |
Last Update Date | 2024-09-27 |