NPI | 1346886652 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 22245) |
Enumeration Date | 2019-11-21 |
Last Update Date | 2019-11-21 |