NPI | 1871921239 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
Additional Taxonomies | 225X00000X Occupational Therapist |
225XN1300X Occupational Therapist, Neurorehabilitation | |
Enumeration Date | 2013-10-23 |
Last Update Date | 2014-08-19 |