| NPI | 1891137006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 312826) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 2591) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2022-03-14 |