| NPI | 1952478331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 169) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV LMT20041538) |
| 225X00000X Occupational Therapist (Licence: WV AA544437) | |
| 225XE1200X Occupational Therapist, Ergonomics (Licence: WV AA544437) | |
| 225XH1300X Occupational Therapist, Human Factors (Licence: WV AA544437) | |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: WV AA544437) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: WV AA544437) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2009-05-08 |