| NPI | 1225695554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2989) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 138136) |
| 225100000X Physical Therapist (Licence: CO 0015921) | |
| 225100000X Physical Therapist (Licence: ID PT-6078) | |
| 225100000X Physical Therapist (Licence: IL 070024246) | |
| 225100000X Physical Therapist (Licence: IA 94659) | |
| 225100000X Physical Therapist (Licence: KS 11-06069) | |
| 225100000X Physical Therapist (Licence: KY 00761) | |
| 225100000X Physical Therapist (Licence: MI 5501019098) | |
| 225100000X Physical Therapist (Licence: MN 11339) | |
| 225100000X Physical Therapist (Licence: MO 2018035403) | |
| 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-15122) | |
| 225100000X Physical Therapist (Licence: NV 3940) | |
| 225100000X Physical Therapist (Licence: NM PT5406) | |
| 225100000X Physical Therapist (Licence: ND 2246) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |