| 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 |