NPI | 1508328501 |
---|---|
Former Name | HUY LE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 305154) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-04-01 |
Last Update Date | 2023-11-13 |