| NPI | 1932840675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: TX 14562287) |
| Additional Taxonomies | 224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility (Licence: TX 14562287) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-02-08 |