NPI | 1801223466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-7023) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37665) |
Enumeration Date | 2013-09-27 |
Last Update Date | 2023-08-02 |