| NPI | 1538477427 |
|---|---|
| Former Name | MELISSA APRIL MCKEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 6273) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19022) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2015-10-20 |