NPI | 1982476107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: NY 027613-01) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 027613-01) |
225XP0200X Occupational Therapist Pediatrics (Licence: NY 027613-01) | |
225XR0403X Occupational Therapist Driving and Community Mobility (Licence: NY 027613-01) | |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-10-23 |