NPI | 1235436197 |
---|---|
Former Name | MELISSA D MAIERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 4671-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 009866) |
Enumeration Date | 2011-02-11 |
Last Update Date | 2013-02-26 |