NPI | 1891004024 |
---|---|
Former Name | MELANIE KATE DI LEONARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1195980) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25508) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2021-09-13 |