| NPI | 1831324508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00004499) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 1077262) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2015-03-24 |