| NPI | 1104372473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 9921) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-01-20 |