| NPI | 1760873574 |
|---|---|
| Former Name | MELISSA MORALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21523) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008864) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |