NPI | 1538898259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048745) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-5679) |
225100000X Physical Therapist (Licence: VT 040.0134562) | |
225100000X Physical Therapist (Licence: DC PT210002410) | |
225100000X Physical Therapist (Licence: MA PTL26810) | |
Enumeration Date | 2022-06-08 |
Last Update Date | 2024-11-22 |