NPI | 1285760033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 4877705-2401) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010369) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2015-07-15 |