NPI | 1841476033 |
---|---|
Former Name | MELISSA MAUREEN LATHROP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4005) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009183) |
Enumeration Date | 2008-01-17 |
Last Update Date | 2009-05-21 |