| NPI | 1508093279 |
|---|---|
| Former Name | MELANIE DIANE BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0019649) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS T-02421) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC 13665) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2024-03-06 |