NPI | 1083609531 |
---|---|
Former Name | BENJAMIN B HEMPSTEAD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0003806) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023544) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2012-12-06 |