| NPI | 1932376175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 134170) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY KYR3411) |
| 225XH1200X Occupational Therapist, Hand (Licence: KY 134170) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2022-12-25 |