| NPI | 1578561452 |
|---|---|
| Former Name | MERYL STACEY GELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01068200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015033) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2008-05-12 |