| NPI | 1760634182 |
|---|---|
| Former Name | MICHELLE ALLISON GHISONI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010124) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209575) |
| 225100000X Physical Therapist (Licence: MA PTL17569) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2024-08-30 |