| NPI | 1104274778 |
|---|---|
| Former Name | MELISSA A LAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61647) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR T61647) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2020-10-20 |