Individual
MELISSA CHARLOTTE MARVIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3341 E QUEEN CREEK RD, SUITE 109, GILBERT, AZ 85297-8501
(480) 621-8361
(480) 621-8513
Mailing address
4771 E MEADOW LARK WAY, QUEEN CREEK, AZ 85240-5207
(480) 830-2445
(480) 677-8921
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5899
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
722729
—
AZ
Enumeration date
04/20/2007
Last updated
08/13/2007
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