| 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 |