Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 15999 | CA |
NPI | 1528588423 |
---|---|
Provider Name | Mr. Nathan S. Hohsfield |
First Address | Galt, CA 95632-3402 |
Second Address | Galt, CA 95632-3402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2017 |
Last Update Date | 21/06/2017 |