| NPI | 1730589060 |
|---|---|
| Former Name | MELANIE ELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 014992) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2020-11-24 |