NPI | 1679255822 |
---|---|
Professional Name | KRISTIAN WESLEY BALE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015290A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 16064) |
Enumeration Date | 2023-08-07 |
Last Update Date | 2024-11-12 |