NPI | 1477936409 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NV A-0813) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 9798A) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2015-07-08 |