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Individual
MRS. MELISSA KATHERINE PRUSHINSKI
Active
Individual
MRS. MELISSA KATHERINE PRUSHINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012718L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1555187
BLUE SHIELD
—
01
—
348556
HEALTH AMERICA ASSURANCE
—
01
—
393538
HEALTH AMERICA ASSURANCE
—
01
—
393539
HEALTH AMERICA ASSURANCE
—
01
—
810397
FIRST PRIORITY
—
01
—
818035
FIRST PRIORITY
—
01
—
818036
FIRST PRIORITY
—
Enumeration date
11/28/2006
Last updated
07/08/2007
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