| 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 |