NPI | 1427228667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012048) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017858) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2017-02-01 |