Individual
MR. ROB EDWARD LIGHT
Active
Individual
MR. ROB EDWARD LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
116304
MO
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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