| NPI | 1700067436 |
|---|---|
| Former Name | MELISSA PENBERTHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021390) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2192) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2016-05-25 |