NPI | 1710520028 |
---|---|
Former Name | MELISA M KABILIZYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34826) |
225100000X Physical Therapist | |
Enumeration Date | 2019-10-21 |
Last Update Date | 2021-07-12 |