NPI | 1992141071 |
---|---|
Former Name | SETH OZASA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13917) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2087147) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2018-10-03 |