NPI | 1407593700 |
---|---|
Other Name | BEN RICHEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10865) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21004) |
Enumeration Date | 2022-05-18 |
Last Update Date | 2023-10-16 |