NPI | 1982142279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 226000000X Recreational Therapist Assistant |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-02-07 |