NPI | 1861036402 |
---|---|
Other Name | DUSTIN TODD WINAND |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213298) |
Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: VA 2305213298) |
Enumeration Date | 2019-11-06 |
Last Update Date | 2024-09-18 |