NPI | 1922658368 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046065) |
Additional Taxonomies | 225200000X Physical Therapy Assistant |
Enumeration Date | 2019-09-18 |
Last Update Date | 2020-09-09 |