| 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 |