Individual
MELISSA CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10949 STAGE RD, CLARENCE, NY 14031-2318
(585) 721-0703
Mailing address
10949 STAGE RD, CLARENCE, NY 14031-2318
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007169
NY
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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