| NPI | 1700869484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2492) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007395) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2015-12-14 |