NPI | 1922138148 |
---|---|
Former Name | MISTY MELISSA MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0180361) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01236800) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2011-03-01 |