Dax Xerxes Nepomuceno, PT Valid NPI

Individual provider · Physical Therapist · Woodhaven, NY

NPI

1174735898

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

019882 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-04

Last updated

2008-11-14