| NPI | 1861937682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32001916A) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA15487) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |