| NPI | 1861792293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 173C00000X Reflexologist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |