| NPI | 1417365974 |
|---|---|
| Other Name | BENJAMIN MARK KOTTMEYER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251C2600X Physical Therapist Cardiopulmonary | |
| 2251G0304X Physical Therapist Geriatrics | |
| 2251N0400X Physical Therapist Neurology | |
| 2251S0007X Physical Therapist Sports | |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2021-05-21 |