| NPI | 1902922370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 109957) |
| Additional Taxonomies | 225XE1200X Occupational Therapist, Ergonomics (Licence: TX 109957) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-05-19 |