NPI | 1255801106 |
---|---|
Former Name | MELANIE BRAUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 295816) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2018-12-04 |
Last Update Date | 2023-12-12 |