| NPI | 1861977126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502005847) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 011442) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2024-02-08 |