| NPI | 1265455307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT 017500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL TPPT297) |
| 225100000X Physical Therapist (Licence: AK 204009) | |
| 225100000X Physical Therapist (Licence: HI 5634) | |
| 225100000X Physical Therapist (Licence: NJ 40QA02156500) | |
| 225100000X Physical Therapist (Licence: RI PT03628) | |
| 225100000X Physical Therapist (Licence: NY 050234) | |
| 225100000X Physical Therapist (Licence: NM PT-2023-2031) | |
| 225100000X Physical Therapist (Licence: MI 5501302499) | |
| 225100000X Physical Therapist (Licence: ID PT-8649) | |
| 225100000X Physical Therapist (Licence: CA 304260) | |
| 225100000X Physical Therapist (Licence: MN 13345) | |
| 225100000X Physical Therapist (Licence: WY PT-2279) | |
| 225100000X Physical Therapist (Licence: TX 1377966) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-11-14 |