NPI | 1154748440 |
---|---|
Former Name | SI ZHAO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15410) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036785) |
225100000X Physical Therapist (Licence: CT 010028) | |
Enumeration Date | 2014-03-25 |
Last Update Date | 2023-08-24 |