| NPI | 1295029684 |
|---|---|
| Former Name | MELISSA HANNOOSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.019708) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 3587) |
| 225100000X Physical Therapist (Licence: FL 27351) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2013-06-05 |