MELISSA MAUREEN LEAK

VANCOUVER, WA
NPI1841476033
Former NameMELISSA MAUREEN LATHROP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  4005)
Additional Taxonomies225100000X Physical Therapist
(Licence: GA  PT009183)
Enumeration Date2008-01-17
Last Update Date2009-05-21
Business Address
Ms. MELISSA MAUREEN LEAK PT
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3753
Phone number: 360-696-4061
Mailing Address
Ms. MELISSA MAUREEN LEAK PT
7820 SE ASPEN SUMMIT DR APT. #60
PORTLAND, OR 97266-6155
Phone number: 770-543-9732