| NPI | 1871784223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 109789) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 109789) |
| 225XL0004X Occupational Therapist Low Vision (Licence: TX 109789) | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing (Licence: TX 109789) | |
| 225XN1300X Occupational Therapist Neurorehabilitation (Licence: TX 109789) | |
| 225XH1300X Occupational Therapist Human Factors (Licence: TX 109789) | |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: TX 109789) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2010-01-05 |