| NPI | 1265781561 |
|---|---|
| Former Name | MELINDA WANEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27295) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT14700) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |