NPI | 1780708990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DE J2-0000404) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE007091) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-07-08 |