| NPI | 1851616668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA9225) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 9225) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |