| NPI | 1851831770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01754900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC CP030099T) |
| 225100000X Physical Therapist (Licence: AZ CP048586T) | |
| 225100000X Physical Therapist (Licence: NY 053163) | |
| 225100000X Physical Therapist (Licence: VA CP026635T) | |
| 225100000X Physical Therapist (Licence: WV CP026634T) | |
| 225100000X Physical Therapist (Licence: NC CP029739T) | |
| 225100000X Physical Therapist (Licence: WI CP049464T) | |
| 225100000X Physical Therapist (Licence: GA CP029737T) | |
| 225100000X Physical Therapist (Licence: NH CP029738T) | |
| 225100000X Physical Therapist (Licence: MO CP049474T) | |
| 225100000X Physical Therapist (Licence: SC CP029740T) | |
| 225100000X Physical Therapist (Licence: MD CP034892T) | |
| 225100000X Physical Therapist (Licence: DE CP026632T) | |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2025-09-18 |