| NPI | 1811772411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NV 1707356257) |
| Additional Taxonomies | 172A00000X Driver (Licence: NV 1707356257) |
| 224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility | |
| 347C00000X Private Vehicle (Licence: NV 1707356257) | |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |