Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 30085 | AZ |
NPI | 1053806729 |
---|---|
Provider Name | Melanie Topete |
First Address | Tempe, AZ 85282-2444 |
Second Address | Tempe, AZ 85282-2444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2018 |
Last Update Date | 30/10/2019 |