NPI | 1689263170 |
---|---|
Other Name | BRYAN TAYLOR THOMAS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61141376) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10408) |
Enumeration Date | 2021-01-11 |
Last Update Date | 2025-04-03 |