NPI | 1164072161 |
---|---|
Other Name | BOBBY STONE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 2002) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 864) |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-09-12 |