| NPI | 1093999724 |
|---|---|
| Former Name | MELISSA ANNE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 13394) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 2833) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2022-09-27 |