| NPI | 1881179927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C2220) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057003658) |
| 224Z00000X Occupational Therapy Assistant (Licence: TN 3034) | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |