NPI | 1578657235 |
---|---|
Other Name | JASON KOMBRINCK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30744) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT20514) |
225100000X Physical Therapist (Licence: WY PT-1311) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2016-04-07 |