NPI | 1962983858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018301-01) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 16117) |
Enumeration Date | 2018-08-28 |
Last Update Date | 2021-04-08 |