| NPI | 1710135017 |
|---|---|
| Former Name | MELISSA PHILBROOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3355) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19004) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2010-06-10 |