NPI | 1639843246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020858) |
Additional Taxonomies | 225200000X Physical Therapy Assistant |
Enumeration Date | 2021-08-06 |
Last Update Date | 2024-04-24 |