| NPI | 1093053183 |
|---|---|
| Other Name | JOE FANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1250990) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60317375) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2021-08-23 |