NPI | 1194971978 |
---|---|
Former Name | MELISSA AILEEN STELMACKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020037) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5803) |
225100000X Physical Therapist (Licence: GA PT012665) | |
Enumeration Date | 2008-08-13 |
Last Update Date | 2022-08-10 |