| NPI | 1770958373 |
|---|---|
| Former Name | MELISSA GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P1656) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209890) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2018-09-18 |