NPI | 1811228828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2074380) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 2368) |
Enumeration Date | 2010-01-15 |
Last Update Date | 2010-01-15 |