| NPI | 1942023189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA ot27363) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 27363) |
| 225X00000X Occupational Therapist (Licence: OR 522042) | |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-08-22 |