| NPI | 1902458672 |
|---|---|
| Former Name | MELISSA KYLE LITZINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 298405) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23046) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-08-06 |