| NPI | 1710207881 |
|---|---|
| Former Name | MELANIE PRESTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60154511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24203) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2024-05-03 |