| NPI | 1962028191 |
|---|---|
| Former Name | MELINDA DUCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT306187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK PHYP1144) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2025-03-05 |