NPI | 1295272326 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207566) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291740) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2017-01-26 |