NPI | 1548658628 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 871514) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0013034) |
Enumeration Date | 2014-12-25 |
Last Update Date | 2014-12-25 |