NPI | 1124575758 |
---|---|
Professional Name | RAUL MOSQUEIRA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA30010) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA7299) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2020-03-05 |