NPI | 1164807764 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 5661) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160006641) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2015-07-23 |