| NPI | 1629214531 |
|---|---|
| Former Name | MELISSA R LACHANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010748) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02197) |
| 225100000X Physical Therapist (Licence: MA 18512) | |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2020-08-03 |