| NPI | 1699264176 |
|---|---|
| Former Name | MELANIE HEMMINGSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 2052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 2041) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2022-10-31 |