| NPI | 1497371421 |
|---|---|
| Former Name | MELANIE ELIZABETH SPICOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014891) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-06-20 |