NPI | 1689119604 |
---|---|
Former Name | MELANIE JEAN BICKERTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014484) |
Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
Enumeration Date | 2016-12-29 |
Last Update Date | 2022-11-14 |