| NPI | 1831433325 |
|---|---|
| Other Name | KEN EXETER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P1 60100220) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ID PTA-51) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |