NPI | 1033706163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DE J2-0001187) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4811) |
Enumeration Date | 2020-12-22 |
Last Update Date | 2020-12-22 |