NPI | 1386929883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OR 16671) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA 60134001) |
Enumeration Date | 2011-10-15 |
Last Update Date | 2011-10-15 |