NPI | 1861702060 |
---|---|
Former Name | MELISSA BEHR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206713) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT002910) |
Enumeration Date | 2010-10-21 |
Last Update Date | 2023-12-05 |