| NPI | 1851602007 |
|---|---|
| Former Name | MELISSA LAUREN GLENWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 015536-1) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2012-08-08 |