| NPI | 1699702365 |
|---|---|
| Former Name | MELANIE FADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019683) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0001809) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2011-03-02 |