NPI | 1669110110 |
---|---|
Other Name | JOHNY GARCIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP011793T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21315) |
Enumeration Date | 2022-05-24 |
Last Update Date | 2022-08-24 |