NPI | 1538538913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2090772) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A5024) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2018-10-19 |