Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 15168 | NC |
NPI | 1013141647 |
---|---|
Provider Name | Dr. Melissa Rose Dupree |
First Address | Charlotte, NC 28270-0953 |
Second Address | Charlotte, NC 28273-4221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2009 |
Last Update Date | 15/08/2014 |