NPI | 1154577708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26570) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-016628) |
225X00000X Occupational Therapist (Licence: IL 056-008419) | |
225X00000X Occupational Therapist (Licence: FL PT26570) | |
Enumeration Date | 2008-08-14 |
Last Update Date | 2015-04-13 |