| NPI | 1245322031 |
|---|---|
| Former Name | MELISSA LEIGH MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501014944) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 22893) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-07-31 |