| NPI | 1427719483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN CP036917T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP037093T) |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: FL PT40041) | |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: TX 1353137) | |
| 225100000X Physical Therapist (Licence: AZ LPT-32113) | |
| 225100000X Physical Therapist (Licence: IN 05015142A) | |
| 225100000X Physical Therapist (Licence: SC 12140) | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2024-11-15 |