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) | |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 749-39) | |
Enumeration Date | 2008-07-09 |
Last Update Date | 2024-10-28 |