NPI | 1073741526 |
---|---|
Former Name | MELISSA HEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3538) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: ME PT3523) |
225100000X Physical Therapist (Licence: MA 18986) | |
225100000X Physical Therapist (Licence: ME PT3523) | |
Enumeration Date | 2009-06-23 |
Last Update Date | 2015-11-20 |