| NPI | 1871541995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: NJ 46TR00431100) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: PA OC004388L) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-08-28 |