NPI | 1023764115 |
---|---|
Former Name | MELODY MARIE SHEETS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11098) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 015687) |
Enumeration Date | 2022-02-27 |
Last Update Date | 2024-07-02 |