| NPI | 1841446598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 2399) |
| Additional Taxonomies | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: NM 2399) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: NM 2399) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |