| NPI | 1952554222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NY 007071-1) |
| Additional Taxonomies | 225XF0002X Occupational Therapist Feeding, Eating & Swallowing (Licence: NY 007071-1) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |