| NPI | 1568785822 |
|---|---|
| Former Name | MELANIE ANN NUGENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 08468R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35951) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2012-10-09 |