| NPI | 1982187720 |
|---|---|
| Former Name | MELISSA ANNE GALKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH5446) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7376) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |