| NPI | 1861259202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0008339) |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
| 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: CO OT.0008339) | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |