| NPI | 1891274890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1796) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2024-01-14 |