NPI | 1629166913 |
---|---|
Former Name | MELISSA DAWN BIUSO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019014) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01142000) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2012-08-09 |