NPI | 1073636346 |
---|---|
Former Name | MELISSA JANE MANSPEAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01150100) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015052) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2007-07-08 |