NPI | 1972685469 |
---|---|
Other Name | JR STANTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 1686) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-10-20 |
Last Update Date | 2018-10-18 |