| NPI | 1851610893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: HI 606) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 3620) |
| 225X00000X Occupational Therapist (Licence: PA OC 008500) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2021-05-26 |