NPI | 1437925336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216214) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22776) |
Enumeration Date | 2023-11-30 |
Last Update Date | 2023-12-13 |