NPI | 1497126866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-02914) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A-1177) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2015-10-12 |