NPI | 1821134669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT1147) |
Additional Taxonomies | 174400000X Specialist (Licence: NM 1147) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2024-06-03 |