| NPI | 1609544683 |
|---|---|
| Former Name | MELANI GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: TN 13658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210271) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |