NPI | 1194870857 |
---|---|
Former Name | MELODY HOLLIMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 003948) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
Enumeration Date | 2007-01-24 |
Last Update Date | 2024-03-11 |