NPI | 1861682858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY CP022115A) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 02829) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2023-06-02 |