NPI | 1205946712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60141507) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-08-30 |
Last Update Date | 2024-06-05 |