| NPI | 1306847959 |
|---|---|
| Former Name | MELISSA ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.009877) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.013454) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2010-05-13 |