NPI | 1083142814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: HI PTA-360) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2083758) |
Enumeration Date | 2017-05-24 |
Last Update Date | 2017-05-24 |