NPI | 1831526904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KY 268531) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TN 2248) |
Enumeration Date | 2013-10-03 |
Last Update Date | 2021-09-01 |