| NPI | 1992832471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS 2763) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-11-07 |