| NPI | 1740034354 |
|---|---|
| Former Name | MELISSA ESCUDERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216341) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE CP-048813T) |
| 225100000X Physical Therapist (Licence: DC PT21000258) | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2026-03-19 |