| NPI | 1225322241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021276) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT021276) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |