| 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 |