| NPI | 1770859332 |
|---|---|
| Other Name | HERMAN ALARIC CARRASCO MARIANO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296028) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015191) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-07-26 |