| NPI | 1811377401 |
|---|---|
| Former Name | MICHELLE MARIE GREENHECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 1553124) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 4058) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2021-07-15 |