NPI | 1881261048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 12323) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 5928) |
Enumeration Date | 2021-06-07 |
Last Update Date | 2021-10-20 |