NPI | 1568536639 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT001848) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH AT000175) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2011-10-26 |