| NPI | 1235110073 |
|---|---|
| Other Name | HENRY SISUN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT00646) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 5669) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2011-09-27 |