NPI | 1336031517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 054407) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02343200) |
Enumeration Date | 2025-07-21 |
Last Update Date | 2025-07-21 |