NPI | 1932748209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0004165) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41332) |
Enumeration Date | 2020-01-03 |
Last Update Date | 2024-10-08 |