| NPI | 1215993647 |
|---|---|
| Former Name | MELODY RENE BIMSLAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4895) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070 006 010) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-07-17 |