NPI | 1992956668 |
---|---|
Former Name | MELODY ANTORA BAIRAGEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 76372502401) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009691A) |
225100000X Physical Therapist (Licence: CA 35476) | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2021-10-21 |