| NPI | 1952690901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT37671) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251C2600X | |
| 2251S0007X Physical Therapist, Sports | |
| 2251E1200X Physical Therapist, Ergonomics | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251H1200X Physical Therapist, Hand | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2016-04-14 |