Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 013808 | OH |
NPI | 1003162298 |
---|---|
Provider Name | Nicholas Matthew Bobinger |
First Address | Upper Arlington, OH 43220-2246 |
Second Address | Upper Arlington, OH 43220-2246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2012 |
Last Update Date | 22/09/2014 |