NPI | 1417834763 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 055014) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY P137532) |
Enumeration Date | 2025-08-19 |
Last Update Date | 2025-08-19 |