NPI | 1811481559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 395834) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI 1776) |
Enumeration Date | 2018-06-17 |
Last Update Date | 2020-02-26 |