NPI | 1336747930 |
---|---|
Former Name | MELISSA WOHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22484) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MD 22484) |
Enumeration Date | 2020-10-15 |
Last Update Date | 2020-10-15 |