| NPI | 1922387745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251E1200X Physical Therapist, Ergonomics (Licence: OH 3582) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: KY 001690) |
| 2251E1200X Physical Therapist, Ergonomics (Licence: IN 05009555A) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |