NPI | 1609445154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 31059) |
Additional Taxonomies | 225200000X Physical Therapy Assistant |
Enumeration Date | 2021-06-20 |
Last Update Date | 2021-06-22 |