NPI | 1346964533 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO CP015268A) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA013364) |
Enumeration Date | 2022-09-30 |
Last Update Date | 2022-10-23 |