| NPI | 1962755942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XH1300X Occupational Therapist Human Factors (Licence: CO 1955) |
| Additional Taxonomies | 225XE0001X Occupational Therapist Environmental Modification (Licence: CO 1955) |
| 225XG0600X Occupational Therapist Gerontology (Licence: CO 1955) | |
| 225XN1300X Occupational Therapist Neurorehabilitation (Licence: CO 1955) | |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: CO 1955) | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: CO 1955) | |
| 225XR0403X Occupational Therapist Driving and Community Mobility (Licence: CO 1955) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2023-12-20 |