NPI | 1912232570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: OR 382931) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OR 16588) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2021-04-21 |