NPI | 1851326946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60822534) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT21687) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2024-12-18 |