| NPI | 1194075812 |
|---|---|
| Former Name | MELISSA ANN MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1241450) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH6599) |
| 225100000X Physical Therapist (Licence: TN 9217) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2015-04-15 |