NPI | 1487984548 |
---|---|
Other Name | TIM NOTEBOOM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 3407) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 3407) |
Enumeration Date | 2010-01-12 |
Last Update Date | 2010-01-12 |