| NPI | 1063675080 |
|---|---|
| Former Name | MELISSA JANE FRANKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14990-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6596) |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: SC 1303) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-11-08 |