| NPI | 1699753483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0009523) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 2845) |
| 2251E1200X Physical Therapist, Ergonomics (Licence: NM 2845) | |
| 2251H1200X Physical Therapist, Hand (Licence: NM 2845) | |
| 2251H1300X Physical Therapist, Human Factors (Licence: NM 2845) | |
| 2251N0400X Physical Therapist, Neurology (Licence: NM 2845) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NM 2845) | |
| 2251S0007X Physical Therapist, Sports (Licence: NM 2845) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NM 2845) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-04-07 |