| NPI | 1851456412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251E1200X Physical Therapist, Ergonomics (Licence: TX 1178421) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: TN PT6004) |
| 2251E1200X Physical Therapist, Ergonomics (Licence: MS PT3563) | |
| 225100000X Physical Therapist (Licence: HI PT-2802) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-03-28 |