| NPI | 1811237746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: MI L2411741) |
| Additional Taxonomies | 225XE0001X Occupational Therapist Environmental Modification (Licence: MI L2411741) |
| 225XE1200X Occupational Therapist Ergonomics (Licence: MI L2411741) | |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2015-08-21 |