NPI | 1831498468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61010729) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37663) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2023-11-16 |