| NPI | 1003233628 |
|---|---|
| Former Name | MELISSA KOENIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007025) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07346) |
| 225XN1300X Occupational Therapist Neurorehabilitation (Licence: MD 07346) | |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: MD 07346) | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: MD 07346) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2016-08-02 |