| NPI | 1750524286 |
|---|---|
| Former Name | MELISSA R BLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0062119) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2013027444) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT012928) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2021-01-25 |