| NPI | 1871965467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: NC 9958) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020010) |
| 225X00000X Occupational Therapist (Licence: OH 009313) | |
| 225X00000X Occupational Therapist (Licence: PA OC014112) | |
| 225XH1200X Occupational Therapist, Hand (Licence: SC 5674) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2024-03-08 |