NPI | 1437444130 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160981068) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 7344A) |
Enumeration Date | 2011-06-10 |
Last Update Date | 2020-07-28 |