| NPI | 1629434295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH 11162) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: OH 11162) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2025-12-16 |