| NPI | 1720113830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017879) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.009684) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |