| NPI | 1881757979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 111467) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT010000429) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-04-18 |