| NPI | 1851839161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA 4456) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AL 3878) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2018-07-12 |