NPI | 1700988110 |
---|---|
Former Name | WILLIAM JOSEPH SANTAMARIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26778) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016373) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2024-03-11 |