NPI | 1396864054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 729) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 01074) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2007-07-08 |