| NPI | 1659775641 |
|---|---|
| Former Name | MELODY RATTANAPOTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4590) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2018-10-17 |