| NPI | 1689046484 |
|---|---|
| Other Name | TOM KRANDA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2015027893) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1954) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |