NPI | 1033398714 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-007808) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7808) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2025-02-18 |