NPI | 1912596248 |
---|---|
Other Name | MAX O'MALLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.024033) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13920) |
Enumeration Date | 2021-01-12 |
Last Update Date | 2022-05-23 |