| NPI | 1962731950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA 001090) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000520) |
| 224Z00000X Occupational Therapy Assistant (Licence: SC 2772) | |
| 224Z00000X Occupational Therapy Assistant (Licence: TN 1785) | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |