| NPI | 1881633253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT1016) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: ME OT1016) |
| 225XE1200X Occupational Therapist Ergonomics (Licence: ME OT1016) | |
| 225XH1200X Occupational Therapist Hand (Licence: ME OT1016) | |
| 225XH1300X Occupational Therapist Human Factors (Licence: ME OT1016) | |
| 225XN1300X Occupational Therapist Neurorehabilitation (Licence: ME OT1016) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-02-06 |