| NPI | 1427164771 |
|---|---|
| Former Name | MELISSA L JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011085A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 2580) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-05-21 |