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 |