Individual
MRS. MELISSA MARY SIDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1439 N MAIN ST, FUQUAY VARINA, NC 27526-9024
(919) 557-2111
(919) 557-5543
Mailing address
1439 N MAIN ST, FUQUAY VARINA, NC 27526-9024
(919) 557-2111
(919) 557-5543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3327
NC
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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