| NPI | 1821118993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 474) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CA 474) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CA 474) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |