NPI | 1881200012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.007590) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 08554) |
Enumeration Date | 2020-09-22 |
Last Update Date | 2020-09-22 |