| NPI | 1679828982 |
|---|---|
| Former Name | MELISSA CZAJKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210974) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035252) |
| 225100000X Physical Therapist (Licence: DC 871655) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2018-01-18 |