| NPI | 1720158306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP014634T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP031043T) |
| 225100000X Physical Therapist (Licence: AR CP030429T) | |
| 225100000X Physical Therapist (Licence: DE CP025388T) | |
| 225100000X Physical Therapist (Licence: CT 12699) | |
| 225100000X Physical Therapist (Licence: IN 05014019A) | |
| 225100000X Physical Therapist (Licence: KY CP029685T) | |
| 225100000X Physical Therapist (Licence: OK CP029662T) | |
| 225100000X Physical Therapist (Licence: SC CP030168T) | |
| 225100000X Physical Therapist (Licence: WV CP018075T) | |
| 225100000X Physical Therapist (Licence: TN CP029665T) | |
| 225100000X Physical Therapist (Licence: OH 010410) | |
| 225100000X Physical Therapist (Licence: TX CP010378T) | |
| 225100000X Physical Therapist (Licence: VA CP015327T) | |
| 225100000X Physical Therapist (Licence: CA 299008) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2025-02-21 |