| NPI | 1235308255 |
|---|---|
| Former Name | BINIL JOHNSON MATHEW |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT1384) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00582600) |
| 225100000X Physical Therapist (Licence: FL PT11209) | |
| Enumeration Date | 2008-02-24 |
| Last Update Date | 2008-02-24 |