NPI | 1104682178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ PTA-000181) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 000181) |
Enumeration Date | 2024-02-26 |
Last Update Date | 2024-02-26 |