| NPI | 1083802409 |
|---|---|
| Former Name | MELANIE ANDREA FORSYTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 03932) |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 225100000X Physical Therapist (Licence: WA PT00008184) | |
| 225100000X Physical Therapist (Licence: OR 3932) | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2017-01-30 |