NPI | 1952446155 |
---|---|
Professional Name | JOHN DESARAJ PRABHAKARIAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT2852) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2007-02-21 |
Last Update Date | 2009-01-15 |