NPI | 1144943978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA CP037005T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP018793T) |
225100000X Physical Therapist | |
225100000X Physical Therapist (Licence: MS 7442) | |
Enumeration Date | 2022-09-26 |
Last Update Date | 2025-03-14 |