| NPI | 1588121701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT294380) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030303) |
| 225100000X Physical Therapist (Licence: NM PT6025) | |
| 225100000X Physical Therapist (Licence: TX 1356673) | |
| 225100000X Physical Therapist (Licence: HI PT-5253) | |
| 225100000X Physical Therapist (Licence: ID 7537) | |
| 225100000X Physical Therapist (Licence: NY 047305) | |
| 225100000X Physical Therapist (Licence: AK 179167) | |
| 225100000X Physical Therapist (Licence: FL PT37413) | |
| 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-21777) | |
| 225100000X Physical Therapist (Licence: IN 05014421A) | |
| 225100000X Physical Therapist (Licence: WY PT-2085) | |
| 225100000X Physical Therapist (Licence: NV 4705) | |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2022-12-06 |