| NPI | 1083762108 |
|---|---|
| Former Name | MELISSA FOURNIER FOURNIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18230) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007666) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-01-20 |