| NPI | 1891813051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XL0004X Occupational Therapist, Low Vision (Licence: LA OTT.Z11771) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTT.Z11771) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-07-11 |