NPI | 1447012307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032978) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02234100) |
Enumeration Date | 2024-01-26 |
Last Update Date | 2025-02-01 |