| NPI | 1952748428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: FL OT10856) |
| Additional Taxonomies | 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: FL OT10856) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2014-04-21 |