| NPI | 1942722236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT17593) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CA 17953) |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2024-03-29 |