NPI | 1235252917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: PA PT009367L) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2007-04-09 |
Last Update Date | 2024-06-24 |