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Individual
MELANIE ANNE GAGNON
Active
Individual
MELANIE ANNE GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008447L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01840210
—
PA
01
—
02202001
CAPITAL BLUE CROSS
PA
01
—
1537903
GATEWAY
PA
01
—
20036904
AMERIHEALTH MERCY
PA
01
—
251844378
DEVON HEALTH SERVICES
PA
01
—
2584842
AETNA US HEALTHCARE HMO
PA
01
—
650021545
RAILROAD MEDICARE
PA
01
—
7911276
AETNA US HEALTHCARE PPO
PA
01
—
GA920917
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/18/2005
Last updated
10/22/2019
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