| 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 |