NPI | 1861121667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT304230) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT38852) |
Enumeration Date | 2022-06-07 |
Last Update Date | 2023-09-27 |