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 |