| NPI | 1992878052 |
|---|---|
| Former Name | MELISSA D FALLOWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: FL OT16358) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 9434) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-09-24 |