NPI | 1942242466 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0001953) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DE U1-0000475) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2014-11-07 |