| NPI | 1578164869 |
|---|---|
| Other Name | MELISSA PETRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15249-24) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0016998) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-11-19 |