| NPI | 1841875986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: MN 201897) |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2023-02-09 |