| NPI | 1912950346 |
|---|---|
| Former Name | MELINDA MARIE HAESCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01291000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17337) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-04-29 |