| 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 |