NPI | 1992805816 |
---|---|
Former Name | MELISSA ANN HAYNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 3719) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1160589) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2010-06-10 |