NPI | 1962486464 |
---|---|
Other Name | RICH WALDRON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT15104) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT15104) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2012-09-07 |