| NPI | 1881994804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA 2066) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A317) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2021-03-10 |