| NPI | 1689981870 |
|---|---|
| Former Name | MELINA LEA FRESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 2474) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00245900) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-12-30 |