NPI | 1598449381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40326) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTT40326) |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-08-02 |