NPI | 1861723504 |
---|---|
Former Name | MELISSA JEAN SHEFFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02283) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17504) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2010-01-20 |