| 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 |