| NPI | 1992541338 |
|---|---|
| Other Name | JOSH MACK HOLCOMB |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61578738) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501303123) |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2024-08-28 |