| NPI | 1831337955 |
|---|---|
| Former Name | MELINDA WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK OK2720) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK PT2720) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2025-05-07 |