NPI | 1699428755 |
---|---|
Other Name | NATE CUNNINGHAM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12788) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014722) |
Enumeration Date | 2022-01-30 |
Last Update Date | 2022-01-30 |