NPI | 1912631391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CA 16212) |
Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: CA 16212) |
Enumeration Date | 2022-07-12 |
Last Update Date | 2022-07-12 |