NPI | 1255827622 |
---|---|
Other Name | TOMMY HUGHES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT61190536) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL.0014850) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2022-06-28 |