| NPI | 1811353378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201001447) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 101134) |
| 225X00000X Occupational Therapist (Licence: FL OT16863) | |
| 225X00000X Occupational Therapist (Licence: IN 31006248A) | |
| 225X00000X Occupational Therapist (Licence: OH OT009574) | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2019-10-08 |