NPI | 1063809770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160031087) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 08906) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2015-04-20 |