| NPI | 1801634449 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: RI OTA01300) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: RI 224Z00000X) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-10-18 |