NPI | 1326560202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05634) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 088149) |
225100000X Physical Therapist (Licence: CT 11439) | |
225100000X Physical Therapist (Licence: NC P17249) | |
225100000X Physical Therapist (Licence: UT 10414606-2401) | |
Enumeration Date | 2017-07-12 |
Last Update Date | 2017-07-12 |