| NPI | 1235316001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT23871) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT12538) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2009-07-29 |