NPI | 1578234993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 13237) |
225100000X Physical Therapist | |
Enumeration Date | 2021-09-24 |
Last Update Date | 2025-08-19 |