NPI | 1225892359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT07839) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT017839) |
Enumeration Date | 2024-02-08 |
Last Update Date | 2024-05-28 |