| NPI | 1144527318 |
|---|---|
| Former Name | MELISSA MAITLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2527) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1199418) |
| 225100000X Physical Therapist (Licence: PA PT021842) | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2018-04-04 |