NPI | 1942671664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102114) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
Enumeration Date | 2015-10-08 |
Last Update Date | 2021-01-28 |